ORTHOPEDICS PANCE REVIEW
QUESTIONS AND ANSWERS 100%
CORRECT | LATEST UPDATE 2024-2025
What does the Finkelstein test test for? - ANSWER De Quervains tenosynovitis
Most common peripheral nerve compression syndrome? - ANSWER Carpal tunnel syndrome
Fingers most commonly affected by Carpal tunnel syndrome? - ANSWER Thumb, index, and long
finger
Finger always spared in Carpal tunnel syndrome? - ANSWER The pinky is always spared
Describe the Phalen test. - ANSWER Backs of hands pressed together for 60 seconds - should
reproduce sx of CTS
What is the most common site of osteomyelitis in the spine? - ANSWER Lumbar spine
What is the most common cause of osteomyelitis? - ANSWER Staph. aureus - trauma, surgery,
hematogenous
What population is most likely to develop osteoid osteoma? - ANSWER Males under 20 - often boys
complaining of pain in the tibia that is worse at night and relieved by aspirin
List the four muscles of the rotator cuff. - ANSWER Supraspinatus, Infraspinatus, Teres minor,
subscapularis
What is the cause of boutonniere deformity? - ANSWER Disruption of extensor hood of PIP joint
, What is gamekeeper's thumb? - ANSWER Disruption of the ulnar collateral ligament
Describe the treatment for a felon. - ANSWER Incision and drainage
Position of the leg in a patient with a hip fracture? - ANSWER Shortened and externally rotated
Typical patient with a SCFE? (slipped capital femoral epiphysis) - ANSWER Obese, underdeveloped 10-
16yo male with a painful limp
Most common ankle injury? - ANSWER Ankle sprain
Mechanism of ankle sprain? - ANSWER inversion + plantar flexion
Most commonly injured ankle ligament? - ANSWER Anterior talofibular ligament
You see a 21 yo c/o pain and clicking behind his lateral maleolus. What would you suspect was the
cause? - ANSWER Subluxation of the peroneal tendon
What bone is most commonly fractured at birth? - ANSWER clavicle
Most common shoulder dislocation? - ANSWER Anterior
Nerve injury associated with shoulder dislocation? - ANSWER axillary
Why is a supracondylar fracture an emergency in a child? - ANSWER Possible injury to the median
nerve and brachial artery
Sign and Symptoms of compartment syndrome - ANSWER 5 Ps! Pain, pallor, paresthesia,
pulselesness, poilkiothermia
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